Diastolic mitral regurgitation in a patient with complex native mitral and aortic valve endocarditis: A rare phenomenon with potential catastrophic consequences

Juan N. Pulido, James J. Lynch, William J. Mauermann, Hector I Michelena, Kent H. Rehfeldt

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Diastolic mitral valve regurgitation is a rare phenomenon described in patients with atrioventricular conduction abnormalities, severe left ventricular systolic or diastolic dysfunction with regional wall motion dyssynchrony, or severe acute aortic valve regurgitation. The presence of diastolic mitral valve regurgitation in acute aortic regurgitation due to endocarditis suggests critical severity requiring urgent surgical valve replacement. We describe a case of diastolic mitral regurgitation in the setting of complex native mitral-aortic valve endocarditis in a patient in normal sinus rhythm and review the etiologic mechanisms of this phenomenon, echocardiographic assessment, and therapeutic implications for hemodynamic management.

Original languageEnglish (US)
Pages (from-to)100-103
Number of pages4
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume20
Issue number1
DOIs
StatePublished - Mar 1 2016

Keywords

  • intraoperative assessment
  • intraoperative transesophageal echocardiography
  • mitral valve
  • monitoring
  • transesophageal echocardiography

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine

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